NPI | 1124598644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LNR1630411) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA LNR1630411) |
225C00000X Rehabilitation Counselor (Licence: CA LNR1630411) | |
405300000X Prevention Professional (Licence: CA LRN1630411) | |
Enumeration Date | 2018-11-27 |
Last Update Date | 2021-02-10 |