| NPI | 1619787090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1581960924) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-05-07 |