| NPI | 1285837088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 051192IV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2019-02-28 |