NPI | 1588350599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 1588350599) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2023-04-12 |
Last Update Date | 2024-11-04 |