NPI | 1467094235 |
---|---|
Former Name | JEIGH BILLINGY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6928) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6928) |
101YM0800X Counselor, Mental Health (Licence: GA CSW006613) | |
1041C0700X Social Worker, Clinical (Licence: GA csw006613) | |
Enumeration Date | 2019-10-14 |
Last Update Date | 2022-01-31 |