| NPI | 1336278837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A07760315) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA A8391402) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-09-07 |