NPI | 1629816616 |
---|---|
Former Name | SARAH HOWDYSHELL, INMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CDCA189288) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS3) |
Enumeration Date | 2024-07-16 |
Last Update Date | 2024-10-16 |