| NPI | 1467877365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA Ci22260620) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2022-08-15 |