NPI | 1669756979 |
---|---|
Former Name | BETH A BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10452) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10452) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3347) | |
Enumeration Date | 2011-10-05 |
Last Update Date | 2022-06-29 |