| NPI | 1487829263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: CA C056680518) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C056680518) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2025-04-29 |