NPI | 1013542000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1342150319) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2020-03-10 |
Last Update Date | 2023-01-26 |