| NPI | 1174388300 |
|---|---|
| Former Name | ALEXANDRA CAMPBELL OLDHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0002353) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |