| NPI | 1750877205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA R1295280318) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-11-29 |