| NPI | 1710589940 |
|---|---|
| Former Name | BELINDA ANN BICKFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18914) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2025-09-08 |