NPI | 1144669276 |
---|---|
Other Name | TISHA ELIZABETH URSUA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii3191214) |
Enumeration Date | 2013-06-21 |
Last Update Date | 2020-04-01 |