| NPI | 1154041549 |
|---|---|
| Former Name | RAGON DAWN MCBRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2208022) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-10-10 |