| NPI | 1952790875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC18793) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 373H00000X Day Training/Habilitation Specialist (Licence: CA APCC18793) | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2025-03-21 |