NPI | 1407211055 |
---|---|
Former Name | ADRIENNE MARIE WHEAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60312854) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60312854) |
101YM0800X Counselor, Mental Health (Licence: AK PCOP583) | |
Enumeration Date | 2015-12-28 |
Last Update Date | 2018-08-08 |