| NPI | 1588113070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA RAS-B1205161649) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA D1008300941) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |