| NPI | 1548670748 |
|---|---|
| Former Name | PATRICIA ELLEN DECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000627) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |