| NPI | 1639787963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15916) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2023-08-09 |