NPI | 1720349525 |
---|---|
Former Name | MARQUITA RACHELLE GARRETT-KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005075) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701005075) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2024-08-07 |