| NPI | 1770737025 |
|---|---|
| Former Name | HAZEL ANN CORKERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1058) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |