NPI | 1346972874 |
---|---|
Former Name | JAYDE D SLEETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 21117) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2024-01-29 |