| NPI | 1760788756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A017850315) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA I3590608) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2023-01-05 |