| NPI | 1780135871 |
|---|---|
| Former Name | WHITNEY LEIGH COULSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801100194) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094616-01) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-05-02 |