| NPI | 1841054541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 136565) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-11-05 |