NPI | 1689824815 |
---|---|
Former Name | NANCY ANN EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2008-09-24 |
Last Update Date | 2020-05-24 |