NPI | 1710505896 |
---|---|
Former Name | VICTORIA MCNARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018386) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LPCC.0017530) |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-07-23 |