NPI | 1912517632 |
---|---|
Former Name | AMY CHRISTEEN BABOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018045624) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2018045624) |
101YM0800X Counselor, Mental Health (Licence: MO 2018045624) | |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |