| 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 |