NPI | 1659857159 |
---|---|
Former Name | JOANNE DELONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 4862) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-07-17 |
Last Update Date | 2021-04-30 |