| NPI | 1093219826 |
|---|---|
| Former Name | JAIME SALTER RYCROFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 862) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |