NPI | 1780283523 |
---|---|
Former Name | CROSBY SKIPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD LPC20562) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SD 20562) |
101YP2500X Counselor Professional (Licence: SD LPC20562) | |
Enumeration Date | 2020-10-22 |
Last Update Date | 2024-12-06 |