| NPI | 1184769648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LADAC LR 160 112) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CADAC II A677011) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-07-02 |