NPI | 1134544208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 17634) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci21430219) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-02-26 |
Last Update Date | 2024-11-29 |