| NPI | 1942835921 |
|---|---|
| Former Name | JERRIE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA SUDRC10370) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |