| NPI | 1861073884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1425370421) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-10-30 |