| NPI | 1316678337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 704140) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2025-04-19 |