NPI | 1003068131 |
---|---|
Former Name | DONNA MARIE MCKNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA LPCC 1669) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA010680315) |
101YM0800X Counselor, Mental Health (Licence: NY 006110) | |
101YP2500X Counselor, Professional (Licence: CA LPCC 1669) | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2018-08-02 |