| NPI | 1720813397 |
|---|---|
| Former Name | ALISON SHEA GILLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 16522-RAC) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |