| NPI | 1134387574 |
|---|---|
| Former Name | DOROTHY MARIE MCNEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14926) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000430A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ICADC.0120804) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP.0011176) | |
| 101YM0800X Counselor, Mental Health (Licence: FL CMHP.0050177) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 39004099A) | |
| 103K00000X Behavior Analyst (Licence: 1-00-0311) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2022-12-01 |