NPI | 1003146713 |
---|---|
Former Name | BELINDA FAYE BURCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7692) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2657) |
101YP2500X Counselor, Professional (Licence: NC 7692) | |
Enumeration Date | 2009-12-30 |
Last Update Date | 2022-05-14 |