NPI | 1023526969 |
---|---|
Former Name | AVA VAUGHAN-CLAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 276398) |
Additional Taxonomies | 101Y00000X Counselor (Licence: 276398) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2018-01-12 |
Last Update Date | 2024-04-15 |