NPI | 1396364907 |
---|---|
Former Name | LUCY BATE AGBORKANG ARRAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 20803) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2021-10-25 |