NPI | 1548354814 |
---|---|
Former Name | TAMIE GLASGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 175961) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2006-10-03 |
Last Update Date | 2021-04-12 |