| NPI | 1285126235 |
|---|---|
| Former Name | REBECCA ANN SUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2017002480) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017002480) |
| 101YP2500X Counselor, Professional (Licence: MO 2017002480) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-01-10 |