NPI | 1952066052 |
---|---|
Former Name | NADINE FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103507) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2021-11-03 |