NPI | 1194918383 |
---|---|
Former Name | MITZIE HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5314) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1013) |
101YM0800X Counselor, Mental Health (Licence: 9647) | |
101YP2500X Counselor, Professional (Licence: NC 5314) | |
Enumeration Date | 2007-08-22 |
Last Update Date | 2023-08-30 |