| NPI | 1326583782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14585-RAC) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 259880) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2021-03-18 |