NPI | 1356982011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci36440922) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-10-03 |
Last Update Date | 2023-01-24 |