| 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 |