| NPI | 1144716150 |
|---|---|
| Former Name | PAIGE VORDERSTRASSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 5649) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1224) |
| 101YM0800X Counselor, Mental Health (Licence: NE 11489) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-07-08 |