| NPI | 1598022600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A8399502) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 112745) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LNR34107) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |