NPI | 1992184808 |
---|---|
Former Name | KELSEY GERSHENHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC009997) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA APC004685) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2018-11-05 |