| NPI | 1255734075 |
|---|---|
| Former Name | CATHERINE A HAVILAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10421) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |