NPI | 1487308060 |
---|---|
Former Name | ABIGAIL FERGUSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 5771049) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13744922-6009) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2022-02-11 |
Last Update Date | 2025-03-13 |