| NPI | 1275985871 |
|---|---|
| Former Name | TERRAINE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 18145) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |