NPI | 1780429563 |
---|---|
Former Name | CYNTHIA S MCCLANAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 8214) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-06-25 |
Last Update Date | 2025-08-25 |