| NPI | 1962905224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1488411122) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-09-20 |