| NPI | 1619748134 |
|---|---|
| Professional Name | ARETHA RAY RED THUNDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |