| NPI | 1174129845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 22113590-II) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 22113590-II) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-06-27 |