| NPI | 1871791970 |
|---|---|
| Former Name | JOANNE BRESNAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0589) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 623) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0033) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2011-08-03 |