| NPI | 1346508579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CJP 1731211) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 960022-IV) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CCS-09034) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |