NPI | 1508504879 |
---|---|
Former Name | CHRISTINA AYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10160) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: OR R7608) | |
Enumeration Date | 2022-05-25 |
Last Update Date | 2025-07-15 |