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 |