NPI | 1588892772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA aii054770418) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2009-06-25 |
Last Update Date | 2021-05-12 |