| NPI | 1770952046 |
|---|---|
| Former Name | ALLISON JEAN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 085961) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 092292) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 445C05981900) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2021-11-10 |