| NPI | 1013698661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1540820124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 120682) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-03-20 |