| NPI | 1548681273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17127) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2025-09-17 |