| NPI | 1881037141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 9143) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 4363-S) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2019-03-05 |