NPI | 1336829134 |
---|---|
Former Name | BRITNEY ANNE ANTHONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 61447558) |
Enumeration Date | 2023-07-18 |
Last Update Date | 2023-07-18 |