| NPI | 1649925348 |
|---|---|
| Professional Name | DIANA BOUCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 089932) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |