| NPI | 1841390812 |
|---|---|
| Former Name | DEBORAH BECKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 340597-1) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |