NPI | 1831605948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C4721214) |
101YP2500X Counselor, Professional (Licence: CA C4721214) | |
Enumeration Date | 2017-12-27 |
Last Update Date | 2022-11-14 |