NPI | 1114102878 |
---|---|
Former Name | JOANN RUTH ZERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3565) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 235) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2024-08-22 |