| NPI | 1205430592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1497300223) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2023-02-15 |