| NPI | 1912755224 |
|---|---|
| Former Name | STEPHANIE JEAN RYTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61336534) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |