| NPI | 1841652377 |
|---|---|
| Former Name | MIAH EDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C8299) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-09-09 |