NPI | 1598400848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CI34780122) |
Additional Taxonomies | 172V00000X Community Health Worker |
225400000X Rehabilitation Practitioner (Licence: CA CI34780122) | |
Enumeration Date | 2022-05-02 |
Last Update Date | 2023-07-25 |