NPI | 1548718380 |
---|---|
Former Name | ABIGAIL LALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2604) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: MA 11915) | |
Enumeration Date | 2016-09-21 |
Last Update Date | 2024-12-18 |