| NPI | 1548743610 |
|---|---|
| Former Name | ALEXIS C.L. THURBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61096029) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60724555) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-10-31 |