| NPI | 1730354838 |
|---|---|
| Former Name | TRINA MARIE PRATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 01-089067) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |