NPI | 1437600442 |
---|---|
Former Name | AMY LYNNE FOLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CG 60664185) |
Enumeration Date | 2016-10-14 |
Last Update Date | 2016-10-14 |