| 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 |