NPI | 1811651102 |
---|---|
Other Name | KRISTINA TYLER SUSAN POSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14846-RAC) |
Enumeration Date | 2021-10-24 |
Last Update Date | 2022-06-23 |