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 |