NPI | 1013965870 |
---|---|
Former Name | DEBORAH EXLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000136) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 39000136A) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2023-05-09 |