| NPI | 1417514092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15988) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-03-19 |