NPI | 1033495361 |
---|---|
Former Name | NANCY L BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0150871) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0136171) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2019-11-26 |