| NPI | 1366569279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CAADE-CATS INTERN) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA CAADE-CATS INTERN) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-07-08 |