| NPI | 1013517432 |
|---|---|
| Former Name | CYPRESS TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-10-04 |