| NPI | 1073264222 |
|---|---|
| Former Name | JODIE N CUTHRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8263-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18941-130) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |