NPI | 1083347363 |
---|---|
Former Name | MARY-KATHERINE LOUETTA ACHOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5530) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI 01705) |
101YP2500X Counselor, Professional (Licence: KS 03756) | |
Enumeration Date | 2022-07-05 |
Last Update Date | 2024-07-17 |