| NPI | 1053663914 |
|---|---|
| Former Name | GAY CLARK ANEPOHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 011030) |
| 101YM0800X Counselor, Mental Health (Licence: TX 011030) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |