NPI | 1467008813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii052170524) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA Aii052170524) |
Enumeration Date | 2019-08-12 |
Last Update Date | 2024-05-09 |