NPI | 1013149269 |
---|---|
Former Name | DEBBIE BLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 15214) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2022-08-02 |