NPI | 1063684637 |
---|---|
Other Name | BREDA FAYE INMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 0083571) |
Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: NM 0083571) |
101YP2500X Counselor Professional (Licence: NM 0083571) | |
Enumeration Date | 2008-03-24 |
Last Update Date | 2008-12-18 |