NPI | 1891562930 |
---|---|
Former Name | LACY MCKAY ADAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA 008510) |
Additional Taxonomies | 221700000X Art Therapist (Licence: GA 23-509) |
Enumeration Date | 2023-12-08 |
Last Update Date | 2023-12-08 |