| NPI | 1730514605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 4943) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A8110712) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA B1208310930) | |
| 101YP2500X Counselor, Professional (Licence: TX 83946) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-08-23 |