| NPI | 1609248368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CO56670518) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: CA CO56670518) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2025-06-02 |