NPI | 1134718919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii050060623) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12064) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2021-01-15 |
Last Update Date | 2023-08-15 |