| NPI | 1104133545 |
|---|---|
| Former Name | CARMEN RAE BARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60266906) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2013-09-18 |