NPI | 1295393197 |
---|---|
Former Name | ASTRID CLAASSEN LAROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1081) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2023-08-14 |