NPI | 1457982498 |
---|---|
Former Name | DARSEY RAYMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102642-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39004729A) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161919) | |
Enumeration Date | 2020-01-29 |
Last Update Date | 2024-03-22 |