NPI | 1821571183 |
---|---|
Former Name | VERONICA JEAN WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii055210418) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A053330718) |
Enumeration Date | 2018-09-12 |
Last Update Date | 2024-02-01 |