NPI | 1578864096 |
---|---|
Professional Name | DIANE THREEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 943008720) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2010-11-15 |