| NPI | 1790147890 |
|---|---|
| Former Name | DEBORAH WHITLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 22205) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 11549) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2019-10-09 |