| NPI | 1811304843 |
|---|---|
| Former Name | NATASHA MARIE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4746) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10272) |
| 101Y00000X Counselor (Licence: NE 2285) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1345) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2017-01-12 |