NPI | 1790245652 |
---|---|
Former Name | NICHOLE DARBY DRISCOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci20961018) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-03-25 |