| NPI | 1457596611 |
|---|---|
| Former Name | DIANNE PEPIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0420) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 420) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2018-12-28 |