| NPI | 1750828877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci45081124) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA CNA00725505) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2025-01-07 |