| NPI | 1811466618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1321600918) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA CPS2200918) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |