| NPI | 1588132351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 111659) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1408301020) |
| 101YP2500X Counselor, Professional (Licence: CA 111659) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2022-10-25 |