| NPI | 1205889599 | 
|---|---|
| Former Name | EILEEN HARRIS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 142)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 155)  | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-18 | 
| Last Update Date | 2024-10-22 |