NPI | 1164821344 |
---|---|
Former Name | ALLISON LOOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2391) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1112) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0964) | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2021-01-21 |