| NPI | 1891109724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA NAADAC 102567) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CAS II 01-078574) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |