NPI | 1962958488 |
---|---|
Former Name | ABBIE T DAIGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016375) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30174) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2016-08-26 |