NPI | 1538691027 |
---|---|
Former Name | LINDSEY GUILLORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 6908) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1583) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2025-04-15 |