| NPI | 1629432794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci30250720) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 24-QMHS-I-00075) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-11-21 |