| NPI | 1154516250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C22701214) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA A0502091236) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2021-01-05 |