NPI | 1861973836 |
---|---|
Former Name | ANDIE LEE SOLEMINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MA 218934) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2018-08-27 |
Last Update Date | 2022-06-12 |