NPI | 1194104364 |
---|---|
Former Name | JARRETTE S WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012992) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-03379) |
101YM0800X Counselor, Mental Health (Licence: MI 6401012992) | |
Enumeration Date | 2015-05-21 |
Last Update Date | 2018-04-25 |