NPI | 1205180478 |
---|---|
Former Name | BARBARA ELAINE DOLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCS 18974) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS18974) |
Enumeration Date | 2012-11-09 |
Last Update Date | 2024-03-14 |