NPI | 1699845008 |
---|---|
Professional Name | PATRICIA BYSON BURBANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00259) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401006102) |
101YP2500X Counselor, Professional (Licence: MI 6401006102) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2007-07-08 |