| NPI | 1861865297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 10654) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 10654) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2023-07-19 |