NPI | 1912322496 |
---|---|
Former Name | JAIMIE BEMISDARFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2023-04-06 |