| NPI | 1366029563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA B00004870926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225400000X Rehabilitation Practitioner (Licence: CA Ci36631022) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci36631022) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-10-06 |