NPI | 1730573288 |
---|---|
Former Name | LASHONDRA L GOODE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci15640518) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2023-06-13 |