| NPI | 1750674032 |
|---|---|
| Former Name | JENNI LORRAINE MILNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000925) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-02-28 |