NPI | 1992288013 |
---|---|
Former Name | RACHEL NYABOKE MOGIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21304) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |