NPI | 1336272814 |
---|---|
Former Name | DANNA ANN O'BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii8211214) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2021-05-11 |