NPI | 1164060695 |
---|---|
Former Name | DENA M SILCOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0285) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-12-16 |
Last Update Date | 2024-06-02 |