NPI | 1487351250 |
---|---|
Former Name | TARA KAY WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P1633) |
Additional Taxonomies | 104100000X Social Worker (Licence: NE 3231) |
Enumeration Date | 2023-02-13 |
Last Update Date | 2023-02-13 |