| NPI | 1003323445 |
|---|---|
| Former Name | BETHANY MICHELLE SOLOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-20774) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-155248) |
| 101Y00000X Counselor (Licence: TX 79520) | |
| 101Y00000X Counselor (Licence: NV CP5567-R) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15017) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2024-02-20 |