NPI | 1710451281 |
---|---|
Former Name | KELSEY LAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P2501013) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2109018) |
Enumeration Date | 2019-01-17 |
Last Update Date | 2025-01-15 |