NPI | 1831610195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 101629) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 101629) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2022-07-21 |