| NPI | 1730307620 |
|---|---|
| Former Name | ELISE WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1388) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 1388) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-06-16 |