NPI | 1932678125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1311710618) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 100003AN) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2018-11-16 |
Last Update Date | 2022-07-29 |