| NPI | 1538623434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA A014240315) |
| 101YM0800X Counselor Mental Health (Licence: CA 12393) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2023-11-09 |