| NPI | 1063425122 |
|---|---|
| Former Name | ABIGAIL WITHER WITHERS LAVOO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 3980LPC) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 232LAC) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6360) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO LAC) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LAC232) | |
| 101YP1600X Counselor, Pastoral (Licence: CO 3980) | |
| 101YP2500X Counselor, Professional (Licence: CO 3980) | |
| 101YP2500X Counselor, Professional (Licence: CO 3980-LPC) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-06-15 |