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 |