| NPI | 1689959892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 112867) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2018-07-05 |