| NPI | 1548043235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1477890822) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2026-05-19 |