| NPI | 1598880163 |
|---|---|
| Former Name | JANICE BADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 11265) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 546) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |