NPI | 1356899314 |
---|---|
Former Name | DEANNE ELIZABETH TORELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17499) |
101YM0800X Counselor, Mental Health (Licence: GA LPC013856) | |
Enumeration Date | 2016-09-19 |
Last Update Date | 2024-03-26 |