| NPI | 1437936929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1505350423) |
| Additional Taxonomies | 247000000X Technician, Health Information (Licence: CA 1505350423) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-10-30 |