| NPI | 1174404701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95231082) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-25 |