NPI | 1275628281 |
---|---|
Former Name | AYISHA KELLYBREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P0409039) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2015-03-18 |