| 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 |