NPI | 1154039808 |
---|---|
Former Name | VERNISHA SOPHIA MCKEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013023) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-11-11 |
Last Update Date | 2024-06-28 |