| NPI | 1518471119 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 118991) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 167969) | 
| Enumeration Date | 2017-11-20 | 
| Last Update Date | 2025-10-10 |