| NPI | 1538303672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA R1001210824) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2023-06-20 |