NPI | 1588080238 |
---|---|
Former Name | ALISHA ANNETTE CLAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60668566) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60145230) |
Enumeration Date | 2014-03-05 |
Last Update Date | 2022-05-17 |