| NPI | 1649519463 |
|---|---|
| Former Name | PAULA JEAN BALSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3050) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC 6567) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |