| NPI | 1104608264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 16552) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: CA 582C9A7417) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2026-10-13 |