NPI | 1568192417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CDCA.180598) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CDCA.180598) |
Enumeration Date | 2022-06-14 |
Last Update Date | 2022-06-14 |