| NPI | 1811388069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1710468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-K1402161107) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA K1402161107) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2017-06-13 |