| NPI | 1700019718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA M.F.C.45077) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA C.A.S.C.) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |