| NPI | 1730335282 |
|---|---|
| Former Name | TRICIA LYNN AYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT 1379-LCPC) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT LAC1413) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2021-04-06 |