| NPI | 1831605674 |
|---|---|
| Former Name | CONNIE MERCER-COGBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015765) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2023-12-20 |