| NPI | 1760592612 |
|---|---|
| Other Name | TERRI GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701003264) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003264) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-03-28 |