| NPI | 1720411549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA RW7203) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA RW7203) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2014-11-24 |