NPI | 1477854180 |
---|---|
Former Name | ALLISON M FRASER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 104288) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2010-11-11 |