NPI | 1063797132 |
---|---|
Former Name | ODYESSEY SIMMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 8991) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 3431-A) | |
101YP2500X Counselor Professional (Licence: NC 8991) | |
Enumeration Date | 2011-10-20 |
Last Update Date | 2024-02-23 |