| NPI | 1992925655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95022558) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-10-21 |