| NPI | 1902098726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN181643) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: Go402241157) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2018-09-04 |