| NPI | 1285232199 |
|---|---|
| Former Name | RANDI R RUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA9951120) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-11-20 |