| NPI | 1013572916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2212229I) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA R1346100419) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-12-22 |