| NPI | 1316056674 |
|---|---|
| Other Name | ALICE MAE KEENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 7610) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4821) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-10-19 |