| NPI | 1962617167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C0709051653) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-10-29 |