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 |