| NPI | 1023515285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 695838) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-02-27 |