| NPI | 1861528150 |
|---|---|
| Former Name | CHRISTY RENEE PICHETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AK 3137) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |