| NPI | 1376680959 |
|---|---|
| Former Name | ANDREA SIMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 4407) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-12-10 |