NPI | 1992237028 |
---|---|
Former Name | APRIL FAIRFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60145194) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-29 |