NPI | 1154720183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA cica00670319) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA CiCA00670319) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2024-09-18 |