| NPI | 1184208092 |
|---|---|
| Former Name | AUTUMN TITUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 14511) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2026-04-13 |