NPI | 1659825545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A022670316) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA CDP0301113) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2016-08-08 |