NPI | 1891385373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A065441224) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA R1421300321) |
Enumeration Date | 2021-01-19 |
Last Update Date | 2025-08-26 |