NPI | 1497248942 |
---|---|
Former Name | TESSA CADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA T22164) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA Y5011232) |
Enumeration Date | 2018-06-10 |
Last Update Date | 2022-10-06 |