NPI | 1174018378 |
---|---|
Other Name | SUSAN CAMBERLYN REEP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2018-06-29 |