| NPI | 1285233304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA r1406010920) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-08-15 |