| NPI | 1417372756 |
|---|---|
| Former Name | MARY-ANN BOUTHILLIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: CT E32489) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |