| NPI | 1104353812 |
|---|---|
| Other Name | TRISTIN NICHOLE DEEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR LCDCIII.161853) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2021-11-10 |