| NPI | 1366221566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 146D) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 171M) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 146L) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 146M) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 146N) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 374K) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 2258) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2260) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 4053) | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2024-05-16 |