| NPI | 1962789735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15592) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 133213) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii0553R048) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2024-01-16 |