NPI | 1598022600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A8399502) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 112745) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LNR34107) | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2012-04-13 |