| NPI | 1245751718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R4718) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |