| NPI | 1821598723 |
|---|---|
| Former Name | EMILY MCKEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016672) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-02-13 |