NPI | 1164436572 |
---|---|
Other Name | QUINCE MARY AFFOLTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1038) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-07-08 |