| NPI | 1871608570 |
|---|---|
| Former Name | SANDRA L RADERMACHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1477) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-10-30 |