| NPI | 1639530884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A054440519) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA A054440519) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2023-03-21 |