NPI | 1306278999 |
---|---|
Former Name | TAMMIE LUE BENDIXEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 346406-6008) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2013-08-06 |