| NPI | 1700331790 |
|---|---|
| Former Name | LIANA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14568) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017011689) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-07-06 |