| NPI | 1205959277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA Aii055080418) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-11-15 |