| NPI | 1033042684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A064700724) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA A064700724) |
| 101YM0800X Counselor, Mental Health (Licence: CA A064700724) | |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |