| NPI | 1093198335 |
|---|---|
| Former Name | CATHERINE L FAIRCHILD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16204-131) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-03-13 |