| NPI | 1558757450 |
|---|---|
| Former Name | ADELAIDE ADAMS WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 971) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303545) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |