NPI | 1164579637 |
---|---|
Former Name | GAILMARIE SCAFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1628) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 11624) |
101YP2500X Counselor, Professional (Licence: NC 7111) | |
101YP2500X Counselor, Professional (Licence: OH C0700929) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2015-10-15 |