NPI | 1336505056 |
---|---|
Former Name | APRIL GOODE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20632) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-01-11 |
Last Update Date | 2023-10-25 |