| NPI | 1982233540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11841) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1368561019) |
| 101YM0800X Counselor, Mental Health (Licence: CA 11841) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-10-16 |