| NPI | 1760717730 |
|---|---|
| Former Name | CLAUDETTE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH3417) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |