NPI | 1689025520 |
---|---|
Former Name | CATINA M FREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15923-130) |
Enumeration Date | 2016-06-22 |
Last Update Date | 2016-06-22 |