| NPI | 1437869336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15827) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2023-07-13 |