NPI | 1417141417 |
---|---|
Former Name | ANNETTE SOBER-SEGUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 5611) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01504) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 0284-S) | |
Enumeration Date | 2007-09-01 |
Last Update Date | 2014-11-20 |