| NPI | 1235800087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1440340721) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC14195) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-09-04 |