NPI | 1174044028 |
---|---|
Former Name | PATRICIA MAY DUTCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2211-226) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-07-21 |