NPI | 1548682628 |
---|---|
Former Name | KAREN LYNN NAVACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-M1307251019) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2014-01-09 |