NPI | 1154833234 |
---|---|
Former Name | SADETTE SPOONER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WI 3567226) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18180130) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2024-11-21 |