NPI | 1386946861 |
---|---|
Former Name | LEXEE GALLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 001459) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 10126) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2022-05-24 |