NPI | 1366693483 |
---|---|
Other Name | CLAUDIA GOSSETT-DIVINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 0000001758) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 0000000175) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-10-07 |