| NPI | 1376757385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-H0604200922) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-12-14 |