NPI | 1992153829 |
---|---|
Former Name | LORI BROWNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA B1312201045) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |