| NPI | 1336596683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C144981124) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2025-09-09 |