| NPI | 1275877060 |
|---|---|
| Other Name | FARRELL M HISBADHORSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA NWIADSCB09/1711CCP) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |