| NPI | 1407063902 |
|---|---|
| Former Name | DIANA HODGSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 071426) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-12-31 |