NPI | 1053092544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1509280623) |
Enumeration Date | 2023-07-27 |
Last Update Date | 2024-09-05 |