| NPI | 1407215577 |
|---|---|
| Former Name | FAITH ANN PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-30311) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-13362) |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-32305) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2021-07-21 |