NPI | 1790286573 |
---|---|
Former Name | DAYNA ELIZABETH NORWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2022003324) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 3217) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2022-02-09 |