| NPI | 1417238379 |
|---|---|
| Former Name | TONIA MARIE HOLSTEN (JAMBOIS REMOVE) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C052360518) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA H0908201631) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2020-01-31 |