| NPI | 1720436546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 123352IV) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 555078) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |