| NPI | 1679240055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2315695) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1350930619) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15695-RAC) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2025-05-21 |