NPI | 1730622549 |
---|---|
Former Name | DELLA SWOPE-COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WV LPC2178) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701007867) |
101Y00000X Counselor (Licence: VA 0718000431) | |
Enumeration Date | 2016-11-28 |
Last Update Date | 2023-10-20 |