| NPI | 1003697491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15856) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 15856) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-11-20 |