NPI | 1992189849 |
---|---|
Former Name | DANIELLE RYAN HARRELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11805) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-07-09 |
Last Update Date | 2022-03-11 |