| NPI | 1265895387 |
|---|---|
| Former Name | ANN M GROB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16304-132) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 17341-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16049-131) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: WI 7091-125) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-10-03 |