| NPI | 1396431045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 16421-RAC) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: CA 16421-RAC) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-21 |