| NPI | 1679076509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A061741022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1294550318) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci31061020) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-07-10 |