| 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 |