NPI | 1740899319 |
---|---|
Other Name | MAKANA BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |