NPI | 1669047643 |
---|---|
Former Name | DONALEE WATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13830) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11491) |
Enumeration Date | 2021-05-23 |
Last Update Date | 2023-04-27 |