NPI | 1588907414 |
---|---|
Former Name | JOYCE PHYLLIS CHILONGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7670) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7670) |
101YP1600X Counselor, Pastoral (Licence: NC 7670) | |
Enumeration Date | 2013-03-28 |
Last Update Date | 2015-12-11 |