NPI | 1528759883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1477380822) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2023-05-17 |
Last Update Date | 2023-05-25 |