NPI | 1972940484 |
---|---|
Former Name | ERIN DAWN UNRUH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 38652) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1284) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2019-07-18 |