NPI | 1245684356 |
---|---|
Former Name | DEVON G ROONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2003023) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: AR A1806070) | |
Enumeration Date | 2016-04-15 |
Last Update Date | 2020-03-10 |