| NPI | 1740725787 |
|---|---|
| Former Name | MARTHA JO ACTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-3329) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |