| NPI | 1154937605 |
|---|---|
| Former Name | TANIA HUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002132) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-10-25 |