| NPI | 1841976479 |
|---|---|
| Former Name | EMILY ALEXANDRIA PREVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-2789) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR pending) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2024-01-03 |