| NPI | 1477928158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA C5261214) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2019-03-11 |