NPI | 1114328457 |
---|---|
Former Name | SHARON BROOKE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID ACADC13036) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC7530) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2024-05-14 |