NPI | 1508072489 |
---|---|
Former Name | VICTORIA ACTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2581-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12537) |
101YP2500X Counselor, Professional (Licence: NC 12537) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2022-03-31 |