| 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 |