NPI | 1427629575 |
---|---|
Former Name | WALINASE NYIRENDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2021-07-08 |