NPI | 1538702626 |
---|---|
Former Name | BRITNEY LORENE LUTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15259) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26261) |
101YM0800X Counselor, Mental Health (Licence: VA 0701011824) | |
Enumeration Date | 2019-10-22 |
Last Update Date | 2024-01-11 |