| NPI | 1548855604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1364140919) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 95-3149367) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2024-12-02 |