NPI | 1598370561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1385100420) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-12-17 |