NPI | 1811312168 |
---|---|
Former Name | PERLENA HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 4451-R) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2019-10-01 |