| NPI | 1861751281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12868-R) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2022-07-08 |