| NPI | 1255719381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9661) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 9661) |
| 101YM0800X Counselor, Mental Health (Licence: CA 9661) | |
| 101YP2500X Counselor, Professional (Licence: CA 3744) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2021-06-04 |