| NPI | 1245999291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 19703) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13019) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2026-06-01 |