| NPI | 1629279336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 12577) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-01-11 |