| NPI | 1750754321 |
|---|---|
| Former Name | JAIME GOLLIHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT LCPC-LIC-39051) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT LAC-LIC-3632) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2019-12-17 |