NPI | 1770910572 |
---|---|
Former Name | VICTORIA ANNE MOLLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C6415) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2013-10-11 |
Last Update Date | 2021-11-09 |