| NPI | 1578218525 |
|---|---|
| Former Name | RAYLEE NICOLE JEFFERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-12-30 |