| NPI | 1861189896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 11057) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist (Licence: CA MPSS-IQKGCN) | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-08-26 |