| NPI | 1801369293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6399) |
| 374U00000X Home Health Aide | |
| 405300000X Prevention Professional (Licence: CA 6399) | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-11-17 |