| 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 |