NPI | 1225297310 |
---|---|
Former Name | DEBORAH KAY CLAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A015130315) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2019-10-17 |