| NPI | 1003056011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C13411214) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 101YA00000X) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2025-05-01 |