| NPI | 1508606989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 21878) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2026-03-09 |