| NPI | 1184958563 |
|---|---|
| Former Name | AUDREY DEBRA HIGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM X - 06623) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0124431) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |