| NPI | 1457510885 |
|---|---|
| Former Name | RENEE THAYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 1067) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 2261) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VT 151.0127296) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2022-01-04 |