NPI | 1851402333 |
---|---|
Other Name | VIRGINIA ANN HINES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 4064-C) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |