NPI | 1033376751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 185849) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |