| NPI | 1841412665 |
|---|---|
| Former Name | DEVONNA RAE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006429) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA RC00046179) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-08-18 |