| NPI | 1922373240 |
|---|---|
| Former Name | REBECCA DAISY LUTHULTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-10-10 |