| NPI | 1053941658 |
|---|---|
| Former Name | MARY ELIZABETH SUNSHINE GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61017529) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-06-13 |