NPI | 1225738859 |
---|---|
Former Name | HEATHER ANN SAMPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61678744) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61296221) |
Enumeration Date | 2023-03-02 |
Last Update Date | 2025-07-08 |