| NPI | 1558517003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA I1008291327) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 229) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2011-06-30 |