| NPI | 1861687055 |
|---|---|
| Former Name | CARRIE BETH SCHOENBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 180002793) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |