| NPI | 1093910135 |
|---|---|
| Former Name | TERRY ANN SWEENEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000827) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |