| NPI | 1194263913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103877) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2022-09-01 |