| NPI | 1760611206 |
|---|---|
| Former Name | SALLIE B RELIFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1156) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |