| NPI | 1417499013 |
|---|---|
| Former Name | AUBREYANNA M MCCUTCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-19-369-) |
| 106S00000X Behavior Technician (Licence: OR 19-QMHA-I-02569) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2020-09-10 |