| NPI | 1528778784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1489191122) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2025-09-03 |