NPI | 1144951138 |
---|---|
Former Name | SAVANNAH RAY GARLAND |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018016) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-06-21 |
Last Update Date | 2025-01-08 |