NPI | 1679121180 |
---|---|
Former Name | LEAH ASHANTI MCNARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.016070) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: WI 11178-125) | |
221700000X Art Therapist | |
Enumeration Date | 2019-08-28 |
Last Update Date | 2024-10-25 |