| NPI | 1598493660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1467840522) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: R1467840522) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2025-04-11 |