NPI | 1750964151 |
---|---|
Former Name | AUTUMN CREECH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CO61650475) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2021-05-03 |
Last Update Date | 2025-09-19 |