NPI | 1699767749 |
---|---|
Former Name | ALYSON LYNN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1434) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2681) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2007-07-08 |