| NPI | 1609702216 |
|---|---|
| Former Name | DANIELLE LEE ENGEBRETSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-25-6140) |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |