NPI | 1174643704 |
---|---|
Former Name | BARRETTE QUINN WELCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7026) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1129) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2016-04-15 |