| NPI | 1447452263 |
|---|---|
| Former Name | TAYLOR TUTTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60119721) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-03-26 |