NPI | 1205338670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94026953) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2022-10-12 |