NPI | 1164688420 |
---|---|
Former Name | BRIANNA LUDINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A061040322) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
172V00000X Community Health Worker | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2024-05-08 |