NPI | 1497053367 |
---|---|
Former Name | ROSEMARY J. HORACZEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11253) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2011-03-02 |