| NPI | 1649897968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 10523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW123376) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-06-21 |