| NPI | 1275045031 |
|---|---|
| Former Name | HEATHER SUGGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE PLADC1454) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |