NPI | 1295851483 |
---|---|
Former Name | KIRA BRISSENDEN ROONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 989115) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 989115) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2019-07-11 |