NPI | 1891472809 |
---|---|
Former Name | NITA JEAN MITCHELL-WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 210002FN) |
Enumeration Date | 2023-06-30 |
Last Update Date | 2023-06-30 |