NPI | 1477275931 |
---|---|
Former Name | ELIZABETH ANN HOLDER NIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 829781) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2022-09-13 |