| NPI | 1003110289 |
|---|---|
| Former Name | SHIRLEY ANN SNODDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 26382) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |