| NPI | 1932762424 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-LBEZIO)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 405300000X Prevention Professional (Licence: CA 405300000x)  | |
| Enumeration Date | 2019-04-19 | 
| Last Update Date | 2025-04-01 |