NPI | 1801467410 |
---|---|
Former Name | APRIL LEIGHANNE GEVEDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16824) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26866) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2024-01-30 |