NPI | 1609283878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA RW6480) |
Enumeration Date | 2014-07-18 |
Last Update Date | 2021-03-09 |