NPI | 1982981718 |
---|---|
Former Name | CHRISTINE POTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 37149) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2011-11-08 |
Last Update Date | 2022-06-20 |