| NPI | 1386817476 |
|---|---|
| Former Name | ANNA LEE BURBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012721) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7370) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-11-06 |