| NPI | 1659680288 |
|---|---|
| Former Name | ANASTASIA E. NEDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15636-130) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |