| NPI | 1386046688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA r1250850517) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-11-13 |