NPI | 1568892784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA ASW111251) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C030590115) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2024-08-08 |