| NPI | 1003168832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 112305) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA W1206081641) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2025-06-11 |