| NPI | 1255740486 |
|---|---|
| Professional Name | OLYTHIA TAMARA BLUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD ADT820) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |