NPI | 1003056458 |
---|---|
Former Name | CHRISTINA LEIGH CAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT CAC-5033) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CCDP-5033) |
Enumeration Date | 2009-02-25 |
Last Update Date | 2009-02-25 |