NPI | 1740839869 |
---|---|
Former Name | ALLYSON MCCONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2019-09-11 |
Last Update Date | 2024-02-23 |