NPI | 1174108872 |
---|---|
Former Name | RANA YOLANDA HUDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05163) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22666) |
Enumeration Date | 2021-03-14 |
Last Update Date | 2024-09-15 |