| NPI | 1972978898 |
|---|---|
| Former Name | DAWN MARIE NORCROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 4274) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2021-07-27 |