| NPI | 1689813206 |
|---|---|
| Former Name | PATRICIA A LOGSDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.001821) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180001821) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2025-01-25 |