| NPI | 1669196374 |
|---|---|
| Former Name | SOPHIA HUNT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: AK 159507) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |