| NPI | 1811353253 |
|---|---|
| Former Name | DAWN DENISE HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7894) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |