| NPI | 1992894463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR CADCIII 951003) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-02-19 |