| NPI | 1912177833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C5291214) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2019-12-17 |