| NPI | 1386378776 |
|---|---|
| Former Name | SHYLA JANE OSORIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61317624) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |