NPI | 1144708603 |
---|---|
Former Name | CHARITY SYRUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 405300000X Prevention Professional (Licence: NC CPS-20838) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-08-06 |
Last Update Date | 2023-12-04 |