NPI | 1043447246 |
---|---|
Former Name | DAPHNE BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR C2947) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00057252) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2025-03-17 |