NPI | 1427159789 |
---|---|
Former Name | DIANNE MARIE SILVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LPC11996) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC11996) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-08 |