NPI | 1245388404 |
---|---|
Former Name | CYNTHIA LYNN BAHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: HI MHC 412) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3101) |
Enumeration Date | 2007-01-06 |
Last Update Date | 2016-09-26 |