| NPI | 1629310198 |
|---|---|
| Former Name | BARBARA AGNES BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2628) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |