NPI | 1508170010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA J0902201133) |
Additional Taxonomies | 374700000X Technician (Licence: CA J0902201133) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2015-01-21 |