NPI | 1013226059 |
---|---|
Former Name | ADRIAN JUSTINE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C3930110) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2010-09-24 |