NPI | 1013523356 |
---|---|
Former Name | ALLISON GENTRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178016279) |
Enumeration Date | 2020-09-22 |
Last Update Date | 2024-01-24 |