| NPI | 1669132064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA SUDRC12718) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12718) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1448381021) | |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2023-09-13 |