| NPI | 1588152763 |
|---|---|
| Former Name | PAULETTA PIERCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1685721) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 1685721) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |