| NPI | 1932813615 |
|---|---|
| Former Name | TAYLOR BOONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-11-05 |