| NPI | 1194073734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii057050518) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2026-01-08 |