| NPI | 1760252431 |
|---|---|
| Former Name | DAWN ANTIONETTE BARBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 3420) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |