| NPI | 1114628518 |
|---|---|
| Former Name | CIERA DAWN ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002516) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-08-28 |