| NPI | 1902125099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 9319) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OH 05297) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2019-04-04 |