NPI | 1336505858 |
---|---|
Former Name | DAWN BURGIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C033920715) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-01-13 |
Last Update Date | 2023-06-26 |