NPI | 1437518321 |
---|---|
Former Name | SAVANNAH SAUNDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011393) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2016004599) |
Enumeration Date | 2016-02-19 |
Last Update Date | 2025-03-14 |