| NPI | 1992376131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci38700623) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist (Licence: CA MPSS-QTDFEW) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-03-15 |