NPI | 1033605639 |
---|---|
Former Name | ALLYSON MAY ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2178) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305094) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2023-12-22 |