NPI | 1164290169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1531031023) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA R1531031023) |
Enumeration Date | 2023-12-19 |
Last Update Date | 2024-06-12 |