NPI | 1033636071 |
---|---|
Former Name | ERICA SAUEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 166634) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18079-130) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2022-08-30 |