| NPI | 1962776021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 8527) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2018-11-01 |