| NPI | 1124598644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LNR1630411) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LNR1630411) |
| 225C00000X Rehabilitation Counselor (Licence: CA LNR1630411) | |
| 405300000X Prevention Professional (Licence: CA LRN1630411) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-02-10 |