NPI | 1306879416 |
---|---|
Other Name | CAROL JAYNE VEREBAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH4317) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH0004317) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2020-10-13 |