| NPI | 1447602065 |
|---|---|
| Former Name | CYNTHIA RELAFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60617833) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |