NPI | 1760976161 |
---|---|
Former Name | MARIA C HAMEISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7805-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16426-131) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2021-05-04 |