NPI | 1750801122 |
---|---|
Former Name | EMILY KELLEY HIGGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3727) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3727) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2019-02-04 |