NPI | 1720436546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 123352IV) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 555078) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |