| NPI | 1467253963 |
|---|---|
| Former Name | ANNE WILLIAMS PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci44030824) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |