| NPI | 1588892772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA aii054770418) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-05-12 |