| NPI | 1326529421 |
|---|---|
| Former Name | ALLISON ANN CULPEPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000958) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 25880) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |