| NPI | 1992271647 |
|---|---|
| Former Name | WHITNEY RENEE TARVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23247) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12153) |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2018-10-21 |