NPI | 1164901799 |
---|---|
Former Name | KARALEE JOY MARSAA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1453) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2018-08-14 |