NPI | 1356796361 |
---|---|
Former Name | LEANNE COADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10900) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 486999) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2020-10-02 |