| NPI | 1265884761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA c054360518) |
| 101YM0800X Counselor, Mental Health (Licence: CA 8121) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2021-09-28 |