NPI | 1114928017 |
---|---|
Former Name | CAROLE KROEGER DENTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NE 288) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 404) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2013-12-03 |