| NPI | 1366701815 |
|---|---|
| Former Name | CYNTHIA A CLEEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001247A) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2013-01-29 |