NPI | 1225650948 |
---|---|
Former Name | LINDSEY GATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C013271) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05922300) |
Enumeration Date | 2020-05-15 |
Last Update Date | 2022-06-01 |