| NPI | 1821422502 |
|---|---|
| Former Name | LINDA ANN PEARCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 1215) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |