| NPI | 1033995501 |
|---|---|
| Former Name | NAKIA MARIE HURDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27176) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |