| NPI | 1780135954 |
|---|---|
| Former Name | JENNIFER PARADIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1264) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0576) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2023-06-20 |