| NPI | 1790059624 |
|---|---|
| Former Name | ABIGAIL MARIE GUNNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-06-18) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3656) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2021-12-20 |