| NPI | 1568856060 |
|---|---|
| Former Name | CORA LEE DREW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 086339) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA t17087) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-05-10 |