NPI | 1700166808 |
---|---|
Former Name | ALLYSON GWENDOLYN BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1386) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4218) |
106H00000X Marriage & Family Therapist (Licence: NE 150) | |
Enumeration Date | 2011-08-19 |
Last Update Date | 2024-03-14 |