| NPI | 1205086022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-B0610051709) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2021-07-28 |