NPI | 1194850883 |
---|---|
Former Name | ALISON K DEMOGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7480) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-02-22 |
Last Update Date | 2015-08-10 |