NPI | 1700297827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW8230) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 7545-R) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-05-12 |
Last Update Date | 2024-04-15 |