| NPI | 1770128498 |
|---|---|
| Former Name | DARLENE MARIE MCCLEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 606431) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |