| NPI | 1952837080 |
|---|---|
| Former Name | DWAN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003037A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2018-04-05 |