| NPI | 1982489043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci50740326) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2026-05-20 |