NPI | 1376178368 |
---|---|
Former Name | BELINDA CONRAD RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 251633) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 251633) |
101YS0200X Counselor, School (Licence: KY 201127380) | |
Enumeration Date | 2020-03-10 |
Last Update Date | 2022-09-15 |