NPI | 1700097516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW0767) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA VN246830) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2010-06-29 |