NPI | 1255810461 |
---|---|
Former Name | MARGARET ADDERLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2022-03-15 |