NPI | 1376954222 |
---|---|
Former Name | AUBREY J SCLARANDIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008602) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102703) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2024-10-01 |