NPI | 1114116688 |
---|---|
Former Name | SCHEILA M FARNSWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5000) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6582) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2015-10-19 |