NPI | 1568117240 |
---|---|
Former Name | TORI GILLASPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05352) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC05352) |
Enumeration Date | 2022-02-21 |
Last Update Date | 2024-11-13 |