NPI | 1073393278 |
---|---|
Former Name | HANNAH ATHEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6584) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-902) |
101YM0800X Counselor, Mental Health (Licence: KY 284922) | |
Enumeration Date | 2023-10-04 |
Last Update Date | 2023-10-27 |