NPI | 1528484227 |
---|---|
Former Name | GABRIELLE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-03-05 |
Last Update Date | 2021-04-09 |