NPI | 1548681810 |
---|---|
Other Name | TERILYN MAYLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY CAP-184) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY PAT-065) |
Enumeration Date | 2014-01-03 |
Last Update Date | 2021-03-17 |