NPI | 1508162579 |
---|---|
Former Name | PATRICIA ANNE HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0164041) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0131431) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2022-07-21 |