NPI | 1356922009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA A020500815) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A020500815) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-04-15 |
Last Update Date | 2023-09-06 |