| NPI | 1306988027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 112213I) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 112213I) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-09-08 |