| NPI | 1932705399 |
|---|---|
| Other Name | TERESA WATERS BURR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000330) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |