| NPI | 1437765161 |
|---|---|
| Former Name | SARISSA JOY MCCLURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013034333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10665) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-06-28 |