NPI | 1407419294 |
---|---|
Former Name | ZAKIYA RENEE SPENCER NURSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701012176) |
101YM0800X Counselor, Mental Health (Licence: RI MHC01212) | |
101YM0800X Counselor, Mental Health (Licence: PA PC012687) | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2024-06-26 |