NPI | 1841892916 |
---|---|
Former Name | BRITTANY SKY RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61097191) |
Enumeration Date | 2020-11-12 |
Last Update Date | 2020-11-12 |