NPI | 1063117224 |
---|---|
Former Name | CHARAY SHARONDA DUPREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS29000) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
101YS0200X Counselor, School | |
101Y00000X Counselor | |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-06-06 |