NPI | 1194575720 |
---|---|
Former Name | ADEVIA ELVIRA PORTER-HELLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013241) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102734) |
Enumeration Date | 2024-03-26 |
Last Update Date | 2024-03-26 |