NPI | 1922230119 |
---|---|
Former Name | SENECA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 173900) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0148291) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0147341) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0161871) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 17401) | |
106H00000X Marriage & Family Therapist (Licence: NM 0168751) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2009-08-20 |
Last Update Date | 2018-12-05 |