NPI | 1801144159 |
---|---|
Former Name | CLAIRE O CALLAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012714) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012714) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-03-31 |