| NPI | 1346477742 |
|---|---|
| Former Name | CLARISA QUANTRILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 60537157) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2018-09-14 |