| NPI | 1417453572 |
|---|---|
| Former Name | NATALIE A JEFFERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACB.0007509) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |