NPI | 1770769846 |
---|---|
Former Name | LAYCIE VESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2319) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-01-18 |
Last Update Date | 2018-10-25 |