| NPI | 1003577206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16780) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17680) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCASA-25712) | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-07-24 |