NPI | 1598157968 |
---|---|
Former Name | MEGAN ASHLEY PARKISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014812) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.004812) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2024-05-03 |