| NPI | 1982312492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA SUDCC15244) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist (Licence: CA MPSS-OWLTSC) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-10-20 |