| NPI | 1194831271 | 
|---|---|
| Other Name | DAWN R BOUGHER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001792A)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 39001792A)  | 
| Enumeration Date | 2006-08-22 | 
| Last Update Date | 2024-01-11 |