| NPI | 1578160180 |
|---|---|
| Former Name | TAI JOHNSTON-BATOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1398500720) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |