| NPI | 1548580111 |
|---|---|
| Professional Name | MJ WOODBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VT 000267) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |