| NPI | 1346607942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CICA01470619) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA CiCA01470619) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2023-11-20 |