NPI | 1679318968 |
---|---|
Other Name | EMMETT MANZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P020844) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-29853) |
Enumeration Date | 2024-06-27 |
Last Update Date | 2024-08-07 |