| NPI | 1932392313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci26180718) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2024-06-19 |