NPI | 1447908470 |
---|---|
Former Name | REBECCA WRIGHT ELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17590) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-03-18 |
Last Update Date | 2024-11-14 |