| NPI | 1205188703 |
|---|---|
| Former Name | TRISHA LYNN TRICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 7229) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2017-04-14 |