| NPI | 1710690748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 18041) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-09-24 |