| NPI | 1063862472 |
|---|---|
| Other Name | BETTY ANN ROAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-319) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |