| NPI | 1598953648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 111913) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2011-04-19 |