| NPI | 1013444678 |
|---|---|
| Former Name | DEBORAH DAWN COLWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 7290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0014436) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0014426) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-03-14 |