| NPI | 1013188796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA RS4344) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-10-06 |