NPI | 1205193661 |
---|---|
Former Name | NATALIE MARIE FRYAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60610392) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 508223) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60613550) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 1111012) | |
101YP2500X Counselor, Professional (Licence: SC 5126) | |
101YP2500X Counselor, Professional (Licence: WA LH60610392) | |
101YP2500X Counselor, Professional (Licence: SC 5474) | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2024-11-04 |