| NPI | 1245800739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1438300721) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-07-22 |