| NPI | 1811312168 |
|---|---|
| Former Name | PERLENA HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 4451-R) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2019-10-01 |