| NPI | 1164823852 |
|---|---|
| Former Name | LINDA COBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15647-131) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |