NPI | 1235024324 |
---|---|
Former Name | YOLANDA DIEKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA t24010) |
Enumeration Date | 2025-06-10 |
Last Update Date | 2025-06-10 |