NPI | 1114518271 |
---|---|
Former Name | SHARON LYNN MCCLELLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8218) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8218) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-02-01 |
Last Update Date | 2024-10-25 |