| NPI | 1881427706 |
|---|---|
| Former Name | TAYLOR GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 02656-I) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |