| NPI | 1134510191 |
|---|---|
| Former Name | COREY LAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008253) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008253) |
| 103T00000X Psychologist (Licence: FL SS1424) | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2019-02-12 |