| NPI | 1033949201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RS6963) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA RS6963) |
| 101YM0800X Counselor, Mental Health (Licence: CA 134677) | |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2024-08-24 |