| NPI | 1043684715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1043684715) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2021-12-15 |