| NPI | 1639589260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA A07570315) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A8910213) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A07570315) | |
| 225400000X Rehabilitation Practitioner | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-12-20 |