| NPI | 1346761293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 10526) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 261843) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-10-05 |