| NPI | 1528599347 |
|---|---|
| Other Name | RAYEANN MARIE UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10075) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2019-01-08 |