NPI | 1407339047 |
---|---|
Former Name | JOSHUA LEANDER PUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-09-10 |
Last Update Date | 2022-11-16 |