NPI | 1053875070 |
---|---|
Former Name | ALYSEN HUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86675) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016378) |
Enumeration Date | 2019-01-23 |
Last Update Date | 2023-10-10 |