| NPI | 1487664553 |
|---|---|
| Former Name | JUDITH ANNE LEGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00362) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00173) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-05-20 |