| NPI | 1427171909 |
|---|---|
| Former Name | PHYLLIS MONTROSE DARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI 44486) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2825) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-621) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-03-06 |