NPI | 1205984523 |
---|---|
Other Name | ELIZABETH DIANE SALLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A020560815) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2019-06-06 |