NPI | 1881822633 |
---|---|
Former Name | GREG ALLEN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOP639) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2022-09-19 |