| NPI | 1467204222 |
|---|---|
| Former Name | ALLISON OLDHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34012137A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87900118A) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-10-10 |