| NPI | 1275188328 | 
|---|---|
| Professional Name | GEORGIA BRONSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 96-04-08) | 
| Enumeration Date | 2019-08-06 | 
| Last Update Date | 2019-08-06 |