NPI | 1912693599 |
---|---|
Former Name | HEATHER C BRADLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN C2-51331) |
Enumeration Date | 2023-04-17 |
Last Update Date | 2023-04-17 |