| NPI | 1992285027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1317900818) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2023-10-09 |