| NPI | 1447790357 |
|---|---|
| Former Name | MADELINE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16120-132) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-01-15 |