NPI | 1194012583 |
---|---|
Other Name | AVANI GUDRUN DILGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6186) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 4442) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2011-07-06 |