NPI | 1457491581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA AII058800618) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1711370II) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 171137011) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-02-17 |