NPI | 1942342183 |
---|---|
Former Name | KARI DAWN GANT, TERRILL, CHANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0002957) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0002957) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-05-23 |