| NPI | 1821575457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-TSBYGR) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R64621214) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2023-03-29 |