| NPI | 1760903959 |
|---|---|
| Other Name | FAITH HELENE BOLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-01-20005) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000001262) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-08-22 |