NPI | 1548833700 |
---|---|
Former Name | TAYLOR MCCORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18113) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-07-23 |
Last Update Date | 2025-08-15 |