| NPI | 1457491581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA AII058800618) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1711370II) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 171137011) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-02-17 |