| NPI | 1255774154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii056740518) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA Aii056740518) |
| 374700000X Technician (Licence: CA S1103032139) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2023-09-01 |