NPI | 1194017830 |
---|---|
Former Name | ALLYSON JEAN GAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4846) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4846) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2023-12-12 |