NPI | 1356011860 |
---|---|
Former Name | WHITNEY CHIVONNE SEWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-09-16 |
Last Update Date | 2022-02-22 |