| NPI | 1962043968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 16511) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2026-03-11 |