| NPI | 1922577758 |
|---|---|
| Other Name | TRICIA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 809) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 559) |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2024-04-25 |