NPI | 1043684715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1043684715) |
Additional Taxonomies | 251K00000X Public Health or Welfare |
Enumeration Date | 2015-11-18 |
Last Update Date | 2021-12-15 |