| NPI | 1003527961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: Ci43920824) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA Ci43920824) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-08-06 |