NPI | 1073806790 |
---|---|
Former Name | GABRIELLE CONYEARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2105006) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1804038) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2011-05-27 |
Last Update Date | 2021-09-13 |