| NPI | 1477985703 |
|---|---|
| Former Name | PATRICIA GOODMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA1723) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |