| NPI | 1487889770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA CORPHQ-645-022710A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CORPHQ645022710A) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2010-08-13 |