| NPI | 1518574011 |
|---|---|
| Former Name | REBECCA KRAUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA SC60700333) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |