NPI | 1861031924 |
---|---|
Former Name | SAFETA OMEROVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1597) |
Enumeration Date | 2020-01-06 |
Last Update Date | 2024-08-26 |