NPI | 1891860359 |
---|---|
Former Name | BARBARA ELLEN WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1227) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 410-9-1-98) |
1041C0700X Social Worker, Clinical (Licence: MN 12010) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |