| NPI | 1881981157 |
|---|---|
| Former Name | SUSAN LAWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CCS2861, LC3877) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |