NPI | 1477768596 |
---|---|
Former Name | ARMANDA WASHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC00539) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2023-09-18 |