NPI | 1043607179 |
---|---|
Former Name | NEILEE WYANN PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOP838) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2024-06-18 |