NPI | 1104129808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2416441-IV) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 16441-RAC) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2416441) | |
Enumeration Date | 2010-12-19 |
Last Update Date | 2024-06-12 |