| NPI | 1902541576 |
|---|---|
| Professional Name | IVA WEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-55556) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |