| NPI | 1932678125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1311710618) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 100003AN) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2022-07-29 |