NPI | 1194413104 |
---|---|
Former Name | ARIA STAR ARTHUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000276) |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-04-27 |