| NPI | 1043750375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii059030618) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-10-09 |