| NPI | 1821483108 |
|---|---|
| Former Name | ALLIETA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26985) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1127) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-03-28 |