| NPI | 1205392461 |
|---|---|
| Former Name | TERESSA A CORBIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1296) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-06-02 |