NPI | 1043711377 |
---|---|
Former Name | AYRIELLE TRENEE POLLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929587) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904010240) |
1041C0700X Social Worker, Clinical (Licence: VA 0904010240) | |
Enumeration Date | 2018-02-22 |
Last Update Date | 2024-03-04 |