| NPI | 1285275164 |
|---|---|
| Former Name | TORY OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VT 068.0134297) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151-0134079) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2022-08-22 |