NPI | 1972637635 |
---|---|
Former Name | SHARON LEE HACKITT-PUTERBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 104563) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2008-12-01 |