| NPI | 1992479943 |
|---|---|
| Former Name | SUMMER STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-1854) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-09-13 |