NPI | 1679501407 |
---|---|
Former Name | BETH H. FARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 2462) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 42) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-07-09 |