NPI | 1720399124 |
---|---|
Former Name | PATRICIA AYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: ME CC6159) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional (Licence: AK 666) | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2024-04-09 |