NPI | 1912280702 |
---|---|
Former Name | MUEY SAETERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15662) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 328334) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2025-01-08 |