| NPI | 1013460997 |
|---|---|
| Former Name | CONSTANCE DYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 128469-121) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15786-132) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-05-23 |