NPI | 1720369564 |
---|---|
Former Name | JAIME WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012120) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012120) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2023-10-27 |