| NPI | 1356660344 |
|---|---|
| Former Name | RICHALE BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10534) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 10534) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 14414) | |
| 101YP2500X Counselor, Professional (Licence: NC 10534) | |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2024-05-21 |