NPI | 1366182842 |
---|---|
Former Name | TERRI LYNATTA GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25630) |
Enumeration Date | 2022-03-31 |
Last Update Date | 2022-03-31 |