| NPI | 1649606534 |
|---|---|
| Former Name | ANDREA LYNN CABRAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 13061) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2024-11-21 |