NPI | 1184333734 |
---|---|
Former Name | NATASHA K MIDDAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021014889) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021014889) |
Enumeration Date | 2022-11-22 |
Last Update Date | 2023-09-12 |