| NPI | 1740635895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 7848) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 376K00000X Nurse's Aide (Licence: CA 00477119) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-04-20 |