| NPI | 1467855247 |
|---|---|
| Former Name | SHEILA LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10872) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |