| NPI | 1891194262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 7100) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: CA 7100) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2025-04-18 |