| NPI | 1588796114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF 48388) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-07-20 |