NPI | 1750521183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-R-01) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6249) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 6249) | |
Enumeration Date | 2009-02-25 |
Last Update Date | 2022-02-18 |