NPI | 1588113070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RAS-B1205161649) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA D1008300941) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2016-09-26 |