| NPI | 1366103996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1560200524) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-05-15 |