NPI | 1205698214 |
---|---|
Former Name | JENNIFER HARRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 23083) |
Enumeration Date | 2024-01-25 |
Last Update Date | 2024-01-25 |