| NPI | 1528425147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 1442071) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CI20031217) |
| 374700000X Technician (Licence: CA 1442071) | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2020-02-05 |