| NPI | 1982468096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 20211) |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: CA BAF2F480B4) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2026-01-22 |