NPI | 1902368301 |
---|---|
Former Name | HANNAH ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OR C6506) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6506) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2023-07-12 |