NPI | 1700924453 |
---|---|
Former Name | ELVIA TARIN BLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 7953) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-07-08 |