NPI | 1336758093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C058220618) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA C058220618) |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |