NPI | 1164791034 |
---|---|
Former Name | VALERIE M BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5227) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2018-03-06 |