| NPI | 1013680941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1439940721) |
| Additional Taxonomies | 374700000X Technician (Licence: CA R1439940721) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |