| NPI | 1144597626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 98936) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 6079) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2024-07-02 |