| NPI | 1831394725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A8409203) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 76992) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 24761) | |
| 251S00000X (Licence: CA 0043248) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-07-24 |