NPI | 1922554948 |
---|---|
Former Name | PA XIONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 8339) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C040351216) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2021-11-09 |