| NPI | 1851150171 |
|---|---|
| Former Name | KATHERINE RODRIGUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1363080919) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |