| NPI | 1003171620 |
|---|---|
| Former Name | BETHANEY LYNNE GRAF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12054) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH12054) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-01-14 |