NPI | 1679788053 |
---|---|
Former Name | ANNE TAYLOR REMLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104894) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000401) |
1041C0700X Social Worker, Clinical (Licence: VA 0904005562) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2022-05-03 |