| NPI | 1942037171 |
|---|---|
| Former Name | REBEKAH DAWN PICKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T221657) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-23 |