| NPI | 1831902501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1547110224) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |