NPI | 1740658707 |
---|---|
Former Name | DIANA NICHOLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC0000771) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-09-08 |
Last Update Date | 2018-10-03 |