| NPI | 1003155318 |
|---|---|
| Former Name | LOUISE BORJA MCINTYRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GU LPC-068) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GU 20-0001) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2021-10-01 |