NPI | 1003355785 |
---|---|
Former Name | REBECCA WELSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014408) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC# 0013703) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2018-02-20 |