NPI | 1609249192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1392450520) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2015-11-05 |
Last Update Date | 2022-03-11 |