NPI | 1700581394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C25771214) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA FSDWILTCRGYQJOPU) |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-04-03 |