| NPI | 1447869128 |
|---|---|
| Former Name | ANDREA DAWN ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-05-18 |