NPI | 1174950844 |
---|---|
Former Name | PATRICIA HUNTSBERRY CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7205) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2013-09-26 |