| NPI | 1508210915 |
|---|---|
| Former Name | KIM DUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR R6418) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-04-02) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-03-14 |