NPI | 1366977407 |
---|---|
Former Name | RYLEIGH DOWTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34407) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TMPC62) |
101YP2500X Counselor, Professional (Licence: DC PRC200001793) | |
101YP2500X Counselor, Professional (Licence: MD LC8553) | |
101YP2500X Counselor, Professional (Licence: MO 2021026279) | |
103TS0200X Psychologist, School | |
Enumeration Date | 2017-04-26 |
Last Update Date | 2023-10-17 |