| NPI | 1942641337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-ODSGKZ) |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2024-07-17 |