NPI | 1265322945 |
---|---|
Former Name | SYDNIE RACHEL ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6774) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2025-07-05 |
Last Update Date | 2025-08-18 |