| NPI | 1790297141 |
|---|---|
| Former Name | TAYLOR SCHAEFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 3714-226) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 18311-130) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |