NPI | 1790181675 |
---|---|
Former Name | MALINDA POE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC9663) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5747) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2024-08-23 |