| NPI | 1134401250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 1044) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 1044) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2022-08-02 |