| NPI | 1952942617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Cica03380520) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci21450218) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06674-C) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-01-08 |