NPI | 1831607548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 164526) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2018-01-16 |
Last Update Date | 2023-10-10 |