| NPI | 1396869095 |
|---|---|
| Former Name | CAROLYN ANN AUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 771) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-09-22 |