| NPI | 1104129808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 2416441-IV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 16441-RAC) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 2416441) | |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2024-06-12 |