| NPI | 1790227353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 5288) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: IA 001621) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 5288) | |
| 101YP2500X Counselor, Professional (Licence: CA 5288) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2023-06-13 |