NPI | 1003869611 |
---|---|
Other Name | CHRISTINE LERILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2277) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 610) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-09-21 |